[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.204.220.238. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
January 1948

TRANSGASTRIC REMOVAL OF LARGE SOLID BODIES IMPACTED IN THE LOWER PART OF THE ESOPHAGUS

Author Affiliations

INDIANAPOLIS

Arch Surg. 1948;56(1):21-23. doi:10.1001/archsurg.1948.01240010024003
Abstract

A PATIENT with a large solid object impacted in the lower part of his esophagus is in great danger of death. Extraction through the mouth with forceps and esophagoscope is perilous and often impossible. This is because manipulation of the object through a tube of great length and with a diameter of only 1 cm. is extremely difficult. Forceful, blind traction on it is likely to rupture the esophagus. The danger of this accident is great when the object has sharp points or has caused pressure necrosis of the esophagus. Transpleural removal has been done and also digital removal through the stomach, but there are serious objections to both operations.

These considerations made us think it worth while to report the following method which we have used with success in 1 case. We can find but one report of the use of a similar method. This is by Boone and

First Page Preview View Large
First page PDF preview
First page PDF preview
×